Giant Pharmacy 754
LBN: Giant Of Maryland Llc
Giant Pharmacy 754 is an health care organization with primary practice located at 4309 Dale Blvd , Woodbridge VA 22193-2401. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Giant Of Maryland Llc can be contacted via phone (703) 670-6179, or through Dayton, Brad via phone (617) 770-8782.
Contact Information
Primary practice address
4309 Dale Blvd
Woodbridge VA 22193-2401
Phone: (703) 670-6179
Fax: (703) 670-8273
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 0201003042 | Virginia |
| Suppliers / Pharmacy | 333600000X | 0201003042 | Virginia |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 0201003042 | Virginia |
Profile Details
| NPI number | 1750314092 |
|---|---|
| LBN Legal business name | Giant Of Maryland Llc |
| DBA Doing business as | Giant Pharmacy 754 |
| Authorized official | Dayton, Brad |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Oct 28th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750314092 | NPPES |
| Virginia | MEDICAID | 008511756 | |
| Virginia | Other | 4814845 |
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